Quick Quote Request - beneplex.ca

Quick Quote Page

Congratulations!

You are eligible to join the Beneplex Block by choosing one of the 3 pre-priced plans we offer.

Company Legal Name

Company Operating Name

Type of Business

City & Province

Website

Operating Since

Number of Employees

Currently insured?

If yes, with which company?

Contact Person Name

Phone

Email

Waiting period (example 3 months after hire)

Minimum hours per week (example 20, 24, 30)

Premium cost sharing % with employees

Are Disability Benefits Non-Taxable (100% Employee Paid)

Employees not covered by CNESST/WSIB

Employees not covered by EI (example: owner)

Choose your plan

Choose your annual drug maximum

Choose additional benefits

Please attach Excel file with the following headings / information on all eligible employees.

Choose file to upload

Let us know what else is on your mind.